Module 1 - Person & FCC

Question 1

First trimester of pregnancy = ____ phase

Answer 1

embyronic

Question 2

2nd + 3rd trimesters = ______ phase

Answer 2

foetal

Question 3

embryonic tissues form 3 layers when?

Answer 3

first 3 weeks of pregnancy

Question 4

3 layers of embryonic tissues

Answer 4

ectoderm, mesoderm, endoderm

Question 5

ectoderm

Answer 5

outer layer, 2nd week, forms basic structure

Question 6

mesoderm

Answer 6

middle layer, 3rd week, forms organs and systems

Question 7

endoderm

Answer 7

inner layer, 2nd week

Question 8

during the first 3 weeks of pregnancy, the foetal membranes differentiate into:

Answer 8

chorion and amnion

Question 9

chorion

Answer 9

precursor to placenta

Question 10

amnion

Answer 10

precursor to amniotic sac

Question 11

the “foetal phase” is characterised as

Answer 11

rapid growth in the size of the foetus

Question 12

at around what week of pregnancy does the foetus look most like a baby?

Answer 12

26 weeks

Question 13

what is the vernix caseosa?

Answer 13

thick white substance covering the baby’s hair and skin

Question 14

how thick is the vernix caseosa by birth?

Answer 14

0.3cm

Question 15

lanugo

Answer 15

fine hair covering the baby

Question 16

when is movement and heartbeat felt?

Answer 16

17-20 weeks

Question 17

how does the baby appear at 26 weeks? (end of 2nd tri)

Answer 17

skin wrinkled and red with visible vessels underneath skin, little fat

Question 18

how does the baby appear at the end of the 3rd tri?

Answer 18

lanugo gone, skin less wrinkled, colouring more normal, subcutaneous fat

Question 19

by how much does the mother’s blood flow eventually increase by?

Answer 19

1/3

Question 20

which two things increase during pregnancy affecting oxygen?

Answer 20

respiratory rate and cardiac output

Question 21

which b vitamin helps prevent neural tube defects during pregnancy?

Answer 21

folic acid

Question 22

when does the foetus begin to excrete urine?

Answer 22

around 16-20 wks, when the kidneys mature

Question 23

poor oxygenation to the foetus in the third trimester can cause ____ resulting in ____?

Answer 23

anal sphincter relaxation > faeces into amniotic fluid ? foetal distress

Question 24

which things can alter the temperature of the amniotic fluid? what can this result in?

Answer 24

illness, spas and saunas > birth defects

Question 25

what are teratogens?

Answer 25

harmful agents which affect cellular development in the embryo/foetus

Question 26

examples of teratogens

Answer 26

alcohol, tobacco, mercury, warfarin, SSRIs

Question 27

activities such as smoking, drugs and alcohol can all potentially cause?

Answer 27

preterm labour, miscarriage, low birht weight, SIDS, learning disorders, birth defects

Question 28

how and where is foetal faeces formed?

Answer 28

in the intestine from swallowing amniotic fluid

Question 29

are faeces excreted by the foetus during pregnancy?

Answer 29

not normally until after birth unless distress has been caused

Question 30

in the principles of PCC, the patient is what?

Answer 30

seen as a person first; and not defined by their disease

Question 31

how can we enhance person centredness? (TRBD)

Answer 31

- treating people as individuals - respecting rights as a person - building mutual trust and understanding - developing therapeutic relationships

Question 32

which tool is used in FCC to determine family structure, development and function?

Answer 32

calgary family assessment model (CFAM)

Question 33

what is a genogram?

Answer 33

used to demonstrate relations between family members in a visual way

Question 34

what is an ecomap used for?

Answer 34

to identify beliefs and activities between family members and friends

Question 35

what is the "upstream approach" to FCC?

Answer 35

Identifies stressors and weaknesses in the family in order to identify and prevent potential problems prior to them occurring